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Governor's Overdose Prevention and Intervention Task Force Meeting
Rachael Elmaleh
59:38
Good morning, all. Here is a direct link to the It’s Ok Not to Be Ok video honoring veterans. Please share the video and resources with your networks. https://www.youtube.com/watch?v=fldxJnedU80
Karen Jeffreys
01:01:30
Clap, clap! Thanks Director Yarn!
Matthew Moynihan
01:01:47
Fantastic job Director!!
Carol.HallWalker
01:01:49
Heart felt message Director Yarn. Thank you so much!
Tom Coderre
01:01:51
thank you Director Yarn, that was beautiful and emotional.
Lee Ann Keeler
01:01:54
Thank you, Director Yarn!
Jeffrey Hill
01:02:00
https://rhodeisland.uniteus.com/ connects RI Serves as well as the children's mental health work through Bradley Hospital's Kids'Link and schools.
Kasim Yarn
01:02:22
We Continue to Stand Together
Dennis w/PWR
01:03:07
Thank you Director Yarn!!
Heather Seger
01:03:40
As always, thank you Dr. Yarn
Matt Collins
01:10:07
any change in the numbers of over dose reversals? wondered if access to Narcan has been a problem?
Colleen Daley Ndoye
01:18:44
Thank you so much for this breakdown, Brandon. It shows we have so much work left to do to reduce racial disparities.
Matt Collins
01:21:07
agree. unfortunately it is consistent with many other clinical conditions. we have to look to ourselves (providers, clinicians) to ask what we can do about it. and
Ben Hallowell
01:23:12
Hi Matt, I'm unaware of any datasets that we have access to that report if Narcan was used to reverse an overdose (outside of police and EMS) that would really let us answer that question at the moment.
Dennis w/PWR
01:24:23
Thank you for that very informative information Dr. Marshall.
Brandon Marshall
01:25:11
The page is now live and can be found here: https://preventoverdoseri.org/emerging-trends/
Brandon Marshall
01:25:17
Thank you all for your comments!
Joshua Miller’s iPhone
01:26:19
any evidence in access to SUD MAT from medicaid vs private insurance that could be contributing to the racial inequities?
Karen Jeffreys
01:28:21
Can we get some of the outreach groups like ProjectRenew or PSNRI to do some informal focus groups and ask what are the barriers?
Dennis w/PWR
01:29:07
I think that is a great idea Karen!!
Matt Collins
01:29:22
great idea Karen. “Nothing for me without me.”
Joshua Miller’s iPhone
01:30:49
also could the rate of reimbursement to providers who target minorities be too low to encourage expansion of services?
Karen Jeffreys
01:30:49
And also include the Recovery Houses too because they have folks there for a bit of time and they have folks who are freshly from actively using and would have great feedback to give on what the barriers were.
Karen Jeffreys
01:32:19
You are right Matt, and no one knows better the barriers than those who hit those barriers daily! Dennis, I am sure the folks you all see daily can recite all the barriers pretty easily!
Carol.HallWalker
01:33:53
Tom Bertrand at RIDOH who works with HIV/STDS and the Needle Exchange Program, may be a good contact for focus groups with people with a substance use disorder
Tom Bertrand
01:36:09
Thanks Carol…Yes, of course, we can work closely with ACOS and PWR to coordinate focus groups with clients of the SSPs.
Catherine Green
01:36:28
Hi! My name is Catherine Green and I'm the state Head Start Collaboration Director. When conducting focus groups, the Head Start agencies may also be a great contact. I'm happy to help coordinate. Feel free to email me at Catherine.green@dhs.ri.gov.
Tom Bertrand
01:36:40
My contact info: Thomas.Bertrand@health.ri.gov
Matt Collins
01:37:22
great point! we talk a lot about SDOH as cause of health disparities. we have to acknowledge that racism leads to health disparities.
Karen Jeffreys
01:38:59
Maybe create a few key questions we want to ask about the barriers that we can all have to ask constituents/clients when we see them so we don’t even have to wait to organize a focus group but we all can start collecting the general feedback to a few key questions about the barriers to services for communities of color.
Dennis w/PWR
01:42:27
Im an certainly on board to assist with these issues effecting POC. please reach out dbailer@weberrenew.org
Colleen Daley Ndoye
01:43:50
This is a hugely important point Julian - thank you. The war on drugs is an enormous barrier to reducing racial disparities.
Elizabeth Samuels
01:43:59
Julian thank you so much— excellent talk
Linda.Mahoney
01:44:13
Aewsome!
Carol.HallWalker
01:44:43
Great Julian. So much work still to do in racial and equity justice for all.
Linda Mendonca
01:45:25
Excellent overview Julian of term Syndemic
Annajane Yolken (she/her)
01:45:41
Thank you Julian. So important to be talking about racial justice and equity, especially given the history and current reality of how racialize the war on drugs and criminalization of people who use drugs has been and is
Karen Jeffreys
01:46:08
Dennis, I am sure in just 1 afternoon of asking all the constituents you all see, you would get the laundry list of the barriers that prevent POC from getting the help they deserve!
Dennis w/PWR
01:46:54
agreed!!
Molly McCloskey - RI Senate Policy Office
01:48:58
I am a policy analyst with the RI Senate. I am also very interested in the focus group idea. If possible, I would love to be kept in the loop on that work - mmccloskey@rilegislature.gov
Linda.Mahoney
01:49:29
Imagine if one day they look back on 2020 and say the good thing that came out of the year is that we solved the housing problem which helped so much more
Elizabeth Samuels
01:50:23
Housing, food security, incarceration, jobs— definitely clear intersections of determinants of COVID and overdose.
Kristen Breton
01:51:36
A suggestion may be to ask others who are not considered 'inside the SUD world.' We often look for answers from everyone inside our circle (and therefore continue to circulate what we recognize as 'knowns') and we may benefit from asking people who are 'outside' the active circle as they may see something we are not weighing in on heavily enough. An example may be higher education leaders, Town Council members, YMCA admins, etc. We (as a health care system) may need some fresh perspective because we see/do this all day long?
Carolina Roberts-Santana
01:52:20
I understand how you feel Dennis
Diane Dufresne
01:52:47
Good point Kristen.....more wholistic view
Colleen Daley Ndoye
01:53:23
Thank you Dennis, for your candor and for everything you do.
Heather Seger
01:54:09
Thank you, Dennis
Carol.HallWalker
01:55:06
A timely issue right now is Felony disenfranchisement is voter suppression. Let's fight it. ... Of all the challenges and barriers to voting out there, one that doesn't get enough attention is felony ... Together, we can make our elections freer, fairer, and more accessible.
Karen Jeffreys
01:55:57
Agreed Kristen, which is why I was suggesting go directly to the constituents - they know the barriers because they face them daily. Sometimes we forget the most simple solutions, for example, we keep asking ourselves why folks don’t access our services and “we” try to guess why rather than asking folks directly.
Carolina Roberts-Santana
01:57:07
Correct... it also increases fear and decreases hope.
Colleen Daley Ndoye
01:57:54
Karen, agreed, asking constituents directly is the most effective way to learn “why.” We are happy to bring people together. I suspect many of the responses will be based on the deep rooted issues that Julian described, deep distrust of the healthcare system, racist interactions with treatment providers, lack of housing, etc.
Karen Jeffreys
01:58:40
Yes, Colleen! Let’s find funding to have you all/Project Renew, Amos House, Anchor, Recovery Houses gather feedback on the barriers
Karen Jeffreys
02:00:30
And, I think as part of our questions to constituent is to ask them what would a system look like that was fair?
Cathy Schultz
02:02:07
Julian...thank you so much.
Cathy Schultz
02:03:19
Thank you everyone and to our veterans thank you for your service.
Julian Drix (he/him)
02:03:26
Thank you all for inviting me here and for the work you do to support our most impacted communities
Dennis w/PWR
02:03:57
Thank You Julian
Jim McDonald MD MPH
02:03:59
Thanks Julian!
Catherine Green
02:04:15
Thank you!
Brandon Marshall
02:04:30
Thank you all!
Elizabeth Samuels
02:04:33
Thank you!